Jason Charles Wells, HM1 IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

PSC Box 20116
Msosg, Marsoc
Camp Lejeune, NC 28542-0116

Phone

(910) 450-6109

NPI assigned

Sep 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jason Charles Wells Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1629263819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC BOX 20116",
            "address_2": "MSOSG, MARSOC",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420116",
            "telephone_number": "910-450-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSC BOX 20116",
            "address_2": "MSOSG, MARSOC",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420116",
            "telephone_number": "910-450-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "HM1 IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "WELLS",
            "middle_name": "CHARLES",
            "prefix": "MR.",
            "credential": "HM1 IDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Douglass Weiss, MD
• Cristina Welborn, FNP-BC
• Matthew Welch, MD
• David Scott Weldon, D.M.D.
• Chris Dunbar Wellford, PHD PSYCHOLOGIST
• Richard Charles Welton, M.D.
• Joseph Werrell
• Zachary West, PA-S
• Colby Westman
• Jessica Paige Wetzel

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.